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Organization
BRENTWOOD DENTAL DESIGNS, PLLC
Active
Organization
BRENTWOOD DENTAL DESIGNS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMATHA L JOHNSON DDS (OWNER/DENTIST)
(603) 679-3679
Entity
Organization
Contact information
Practice address
1 BRICKYARD SQ, SUITE 5, EPPING, NH 03042-4402
(603) 679-3679
(603) 679-3779
Mailing address
1 BRICKYARD SQ, SUITE 5, EPPING, NH 03042-4402
(603) 679-3679
(603) 679-3779
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
03591
NH
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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